Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NORTH SHORE LIJ PHYSICIANS GROUP PC

NPI: 1073818308 · GREAT NECK, NY 11021 · Internal Medicine Physician · NPI assigned 01/18/2011

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CUSACK, MICHELE controls 20+ related entities in our dataset. Read more

$23K
Total Medicaid Paid
1,551
Total Claims
1,289
Beneficiaries
13
Codes Billed
2022-05
First Month
2024-07
Last Month

Provider Details

Authorized OfficialCUSACK, MICHELE (EVP & CFO)
NPI Enumeration Date01/18/2011

Related Entities

Other providers sharing the same authorized official: CUSACK, MICHELE

ProviderCityStateTotal Paid
LONG ISLAND JEWISH MEDICAL CENTER NEW HYDE PARK NY $370.91M
NORTH SHORE UNIVERSITY HOSPITAL NEW HYDE PARK NY $166.53M
STATEN ISLAND UNIVERSITY HOSPITAL STATEN ISLAND NY $118.12M
REGIONCARE INC. GARDEN CITY NY $96.55M
NORTH SHORE UNIVERSITY HOSPITAL MANHASSET NY $87.68M
LENOX HILL HOSPITAL NEW YORK NY $63.17M
SOUTH SHORE UNIVERSITY HOSPITAL BAY SHORE NY $47.45M
JOHN T. MATHER MEMORIAL HOSPITAL PORT JEFFERSON NY $20.34M
PHELPS MEMORIAL HOSPITAL ASSOCIATION SLEEPY HOLLOW NY $20.17M
NORTH SHORE UNIVERSITY HOSPITAL WESTBURY NY $17.90M
TRUE NORTH MEDICAL GROUP PC MERRICK NY $12.56M
HUNTINGTON HOSPITAL ASSOCIATION HUNTINGTON NY $9.83M
THE LONG ISLAND HOME AMITYVILLE NY $9.49M
REGIONCARE INC. GREAT NECK NY $9.43M
LONG ISLAND JEWISH MEDICAL CENTER VALLEY STREAM NY $8.41M
HUNTINGTON HOSPITAL DOLAN FAMILY HEALTH CENTER GREENLAWN NY $8.03M
GLEN COVE HOSPITAL GLEN COVE NY $7.72M
CENTRAL SUFFOLK HOSPITAL RIVERHEAD NY $7.66M
NORTHERN WESTCHESTER HOSPITAL ASSOCIATION MOUNT KISCO NY $7.58M
PLAINVIEW HOSPITAL PLAINVIEW NY $6.39M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 795 $15K
2023 673 $7K
2024 83 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 753 692 $11K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 90 86 $4K
99231 Subsequent hospital care, per day, straightforward or low complexity 210 62 $3K
90792 Psychiatric diagnostic evaluation with medical services 12 12 $1K
71045 Radiologic examination, chest; single view 180 153 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 138 118 $1K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 12 12 $798.24
70450 Computed tomography, head or brain; without contrast material 30 30 $579.42
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 53 51 $490.02
71046 Radiologic examination, chest; 2 views 13 13 $113.10
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 13 $93.92
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 34 34 $87.27
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 13 $0.00